Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 61138975 | WA |
N | 2080P0208X | Pediatric Infectious Diseases | 61138975 | WA |
NPI | 1205276896 |
---|---|
Provider Name | Dr. David Taylor Hendrixson |
First Address | Seattel, WA 98145-5095 |
Second Address | Seattle, WA 98195-1002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2013 |
Last Update Date | 22/06/2021 |